Mary Saggau, MSW, LCSW, CETII

If you are...........

An individual struggling with family and relationship issues 

Feeling overwhelmed by life's challenges

A teen needing a place to feel listened to, supported and safe

A senior citizen struggling with issues related to aging

In need of support regarding parenting decisions

Then you have come to the right place!

Whether you are looking for help with a difficult life situation, or working on emotional challenges dating back to childhood, you can expect creative, insightful conversations. Though therapy is serious business, humor is important too! We will focus on gently moving you toward changes that will improve your life. I look forward to hearing from you.



Anxiety and Stress Management



Family of Origin Issues

Grief and Loss

Life Transitions

Parenting Issues

Relationship Issues

Self Esteem

Senior Citizens and Aging Issues


Work/Employment Challenges

Treatment Approach

I use a mix of methods in working with my clients.  Grounded in a person-focused approach, I believe in the dignity and worth of each individual. In a caring environment, I will help you identify your personal truth, and support you in living from this place.  

My therapy is emotion-focused, rather than cognitive. I have often said that if we became healthy based on thoughts and cognition alone, we would be happy according to our IQs.  That's not the way it works! It is the heart that needs healing, not the intellect. Growth and empowerment come from  facing difficult core emotions of sadness, fear and anger. The work I do is insight-oriented. When a client identifies a current struggle,  and can see themes and patterns, life-long change is possible. I utilize experiential techniques and psychodrama (role playing). By actually "being in" a situation in the therapy office, clients empower themselves to behave from a position of  strength outside of the session. 

Spirituality is also an important component in therapy. Whether a person's belief system is based on a religious tradition, the 12 Steps or another spiritual approach, I encourage this aspect. I have an extensive background in the 12 Steps, and am happy to incorporate this into therapy if clients are interested. 

Background and Experience

I have 12+ years of experience working with children and families. Prior to my current private practice, I worked for eight years with children (age 7 and up), adolescents, adults, families and couples in a group practice. As part of that position, I consulted with both elementary and secondary schools, providing counseling and facilitating Care Teams. I also provided in-service training for teachers as well as presentations for parents on mental health issues and parenting topics. 

I am a CPA (certified public accountant) and have been employed in both corporate and educational environments in that capacity.


Master of Social Work, Washington University, St. Louis, MO (May 2005)

Master Level Accounting Courses, University of Missouri, St. Louis, MO  (December 1991)

Bachelor of Arts, Marquette University, Milwaukee, WI (December 1974)


Licensed Clinical Social Worker (LCSW)

Certified Experiential Therapist II (CET)

Professional Affiliations

American Society of Experiential Therapists

National Association of Social Workers

Psychotherapy St. Louis


About Therapy

Whether it is your first time in therapy, or you are coming back to address a new issue, it can be scary to get started. Take the first step, and give me a call. We will spend time on the phone, making sure the fit feels right. 

Individual Therapy

I work with children (age 10 and up,) adolescents, adults, senior citizens and couples. I am available for individual sessions Tuesdays through Fridays. Sessions are 55 minutes in length, and arrangements can be made for longer sessions if necessary.  I am currently in-network for Anthem Blue Cross/Blue Shield and Medicare. I am out of network for other insurance providers.  

The following paperwork is required at the time of your first session:

New Client Information 

Release for Insurance (Anthem and Medicare only)

HIPAA Privacy Practices Disclosure (for your information only)

Group Therapy

Most issues are relationship issues.  What better way to deal with them than in a group of individuals who are also trying to grow!  Working in group helps members know that they are not alone in their struggles, come out of isolation and reduce the shame that comes with personal issues.  Know that safety and confidentiality are of utmost importance in group work, and as trust builds, so does the level of  healing.

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School Consultation

I provide consultation for principals and department heads regarding mental health issues in both public and private schools.

Care Team Meetings

I join schools at the beginning and help them establish their teams.  After the team is up and running, I facilitate the meetings to assist in addressing difficult academic, social, mental health and family issues among students. Not being part of your school community, I will look at situations with an objective eye.  My mental health background gives a perspective that helps create solutions educators frequently overlook or may not readily identify.

Teacher and Parent Presentations

I provide teacher in-service presentations on a wide variety of topics, ranging from anxiety and depression to sensory integration and educator compassion fatigue.

I also provide educational talks for parents on topics such as stress management and over-scheduling, and self esteem and motivation.  

Give me a call for a complete list of topics!

Contact Me

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Mary Saggau MSW, LCSW, CETII

10425 Old Olive Street Road, Creve Coeur, MO 63141

(314) 974-7040

Call for a free phone consultation.  We can decide if therapy is right for you at this time, and schedule a first visit. 

Parking is no problem.  There is plenty of free, on-site parking.